[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response

OMB 0920-1447

Latest Forms, Documents, and Supporting Material

Document Name
EO14168 CRM MDN.docx Justification for No Material/Nonsubstantive Change
EO14168 CRM MDN.docx Justification for No Material/Nonsubstantive Change
SSA_MDN Generic ICR_Updated.docx Supporting Statement A
SSA_MDN Generic ICR_Updated.docx Supporting Statement A
Att 9 - PRA Burden Statement Screenshot.pdf Supplementary Document
Att 9 - PRA Burden Statement Screenshot.pdf Supplementary Document
Att 8 - Research Determination.pdf Supplementary Document
Att 8 - Research Determination.pdf Supplementary Document
Att 7 - DCIPHER PIA.pdf Supplementary Document
Att 7 - DCIPHER PIA.pdf Supplementary Document
Att 6 - Response Specific Data Element Form.docx Supplementary Document
Att 6 - Response Specific Data Element Form.docx Supplementary Document
Att 5 - MDN for Case Data Form_Updated.docx Supplementary Document
Att 5 - MDN for Case Data Form_Updated.docx Supplementary Document
Att 4 - List of Non MDN GenV2 Data Elements.xlsx Supplementary Document
Att 4 - List of Non MDN GenV2 Data Elements.xlsx Supplementary Document
List of MDN for Case Data 032025.xlsx Supplementary Document
List of MDN for Case Data 032025.xlsx Supplementary Document
Att 2a - 60 day FRN.pdf Supplementary Document
Att 2a - 60 day FRN.pdf Supplementary Document
Att 1 - Authorizing Legislation 42 USC 241.pdf Supplementary Document
Att 1 - Authorizing Legislation 42 USC 241.pdf Supplementary Document
SSB_MDN Generic ICR.docx Supporting Statement B
SSB_MDN Generic ICR.docx Supporting Statement B